168629 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 228000 Page 1 of 1
0 t ONE CIVIC SQUARE NORTHSIDE TRAILER INC. CHECK AMOUNT: $699.67
?o CARMEL, INDIANA 46032 11985 EAST STATE ROAD 32
ZIONSVILLE IN 46077 CHECK NUMBER: 168629
CHECK DATE: 2/4 /2009
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 99022 689.17 AUTO REPAIR MAINTEN
601 5023990 99165 10.50 OTHER EXPENSES
r
�A
NORTHSI TRAI LLC
SALES PARTS SERVICE
INVOICE NO.
99022
969 NORTH RANGELINE ROAD
CARMEL, INDIANA 46032
(317) 846 -5839
Fax (317) 846 -5614
4092
BILLTO: CARMEL CLAY PARKS RECREATION SHIPTO:
1411 EAST 116TH STREET
CARMEL, IN 46032 1411 EAST 116TH STREET
CARMEL, IN 46032
(317) 571 -2695
Page:1
INVOICE DATE ORDER NO, TERMS SALESPERSON
Jan07'09 VIN38577 NET 30 DAYS MIKE L TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
EHICLE IDENTIFICATION
2008 WHITE EX CAB F -250 LB
VINH.IFTSX215X8ED38577
1 800208 208 350.00 350.00
FORD 2008 SUPDUTY 250,350,450
1 611060 20110 99.17 99.17
IRING,5TH/ GN, FORD -GM
1 1 200.00 200.00
LABOR
GN HITCH INSTALL
1 1 40.00 40.00
LABOR
INSTALLED OEM 7 -RV PLUG IN LR BEDSIDE
i
JAN 1 4 2009
Su -Total 689.17
Purthaft D' scount
PDT P Shipping Handling, 0.00
Ta 0] EXEMPT*
G.L
Bud Total 689.17
line Descr
Purchaser Date Amo u t Paid 0.00
Received By: A pprov al Amo nt Due 689.17
Change 0.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
228000 Northside Trailer, LLC
969 N Rangeline Road Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoices) or bill(s)) Amount
117109 990 P08 19660 F 689.17
22 Gooseneck hitch for
Total 689.17
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
228000 Northside Trailer, LLC Allowed 20
969 N Rangeline Road
Carmel, IN 46032
In S um of
J
689.17
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 99022 4351000 689.17 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
27 -Jan 2009
Signature
689.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
NORTHSIDE TRAILER L
SALES PARTS SERVICE
INVOICE NO.
11985 EAST STATE ROAD 32 99165
ZIONSVILLE, IN 46077
317 769 -2460
317- 769 -2463 FAX
14234
BILLTO: CITY OF CARMEL UTILITIES SHIP TO:
WATER /SEWAGE DEPTS.
760 THIRD AVE. S. W. 760 THIRD AVE. S. W.
CARMEL, IN 46032 CARMEL, IN 46032
(3 17) 571 -2400
Page:1
INVOICE DATE ORDER NO. TERMS SALESPERSON
Jan27'09 NET 30 DAYS TOM TOM
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 20000 2010 10.50 10.50
BREAKAWAY SWITCH,NYLON CASE W/
Su -Total 10.50
Discount
Shipping Handling 0.00
Tax[ 01 EXEMPT*
Total 10.50
Amount Paid 0.00
Received y: Amount Due 10.50
Change 0.00
Prescribed by State Board of Accounts City Form No. 201 (Rev 199 5)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
228000
NORTHSIDE TRAILER INC. Purchase Order No.
969 N RANGELINE RD Terms
CARMEL, IN 46032 Due Date 1/27/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/27/2009 99165 $10.50
J
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date ffi e
VpUCHER 084312 WARRANT ALLOWED
28000 IN SUM OF
NORTHSIDE TRAILER INC. �A
969 N RANGELINE RD U)
CARMEL, IN 46032 \��'��.�z
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
99165 01- 6500 -05 $10.50
Voucher Total $10.50
Cost distribution ledger classification if
claim paid under vehicle highway fund